state, in this area, and in the bay area, i think that kaiser has had a real lead, along with the ethic dph, and is both getting a lot of demand and is trying to develop the systems to demand and they have worked very much in parallel with us in terms of having to send the surgeries out of the network including sending the patients to arizona some of the time or bringing a surgeon in from arizona some of the time. and have faced some of the same challenges that have come to many of the same conclusions in terms of model and we learned from each other in that. and i understand that there are similar efforts in los angeles, and i don't know, as much about how they are meeting this need, and at least based on the phone calls that i get from other areas, we are way ahead, of both a lot of the other counties and a lot of the private sector in this and the people are calling me sam, well how did you do that? how did you do this? >> i tried to control the amount of time that i spend on that stuff. but, those are the kind of questions that i get. >> thank you. >> i think that on that latter point,